Individual
DR. CORY L KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2139 E 151ST ST, OLATHE, KS 66062-2969
(913) 768-0000
(913) 768-0758
Mailing address
2139 E 151ST ST, OLATHE, KS 66062-2969
(913) 768-0000
(913) 768-0758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04129
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11718
PRINCIPAL INSURANCE
KS
01
—
18541018
BCBS OF KC
KS
01
—
25133
COVENTRY INSURANCE
KS
01
—
4400204
UNITED HEALTH CARE
KS
01
—
4595906
AETNA INSURANCE
KS
01
—
497955
BCBS OF KS
KS
Enumeration date
02/06/2007
Last updated
07/09/2007
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